A Case of an Tubular Foreign Body in the Paranasal Sinus After Penetrating Orbital Injury

Abstract

We report a case of a 13-year-old male patient who was referred from the emergency room with a retained tubular foreign body in the right orbit extending into the right sphenoid sinus. The foreign body was removed through endoscopic exploration without leaving an external scar.

An Unusual Maxillary Sinus Foreign Body: A Case Report

“…The traumatic causes can be classified as accidental or iatrogenic [ 7 ]. The presence of pieces of glass [ 8 ], a ballpoint pen [ 9 ], and multiple wood and plastic pieces [ 10 ] are considered accidental causes.…”

“…The other cause is traumatic incidents, which account for 25% of cases [ 2 ]. Traumatic foreign bodies can be a result of direct external trauma to the sinus, or indirectly through orbital or palate injuries [ 3 ]. Foreign bodies may consist of various substances such as dental implants, tooth roots, wooden sticks, toothpicks, needles, plastic, glass, metal, and bullets [ 1 – 3 ].…”

“…Traumatic foreign bodies can be a result of direct external trauma to the sinus, or indirectly through orbital or palate injuries [ 3 ]. Foreign bodies may consist of various substances such as dental implants, tooth roots, wooden sticks, toothpicks, needles, plastic, glass, metal, and bullets [ 1 – 3 ]. These are usually detected when a patient has unexplained rhinosinusitis, or as an accidental finding during radiological examination [ 2 ].…”

“…There are different methods used to extract foreign bodies from the sinus. The type of management is determined by the size, shape, and location of the foreign body [ 2 , 3 ]. The Caldwell-Luc procedure, the lateral window approach, and endoscopic sinus surgery are common procedures used for the removal of foreign bodies [ 4 , 5 ].…”

Sphenoid sinus foreign body following airbag deployment in the United States: a case report

“…Most commonly, injuries involving high-velocity trauma, such as firearms [1][2][3], ballistic projectiles [4], and high falls [5,6], increase the risk of penetrating foreign bodies. However, even falls from standing height impart enough force to result in sinus penetration [7,8]. Foreign body entry wounds frequently involve the nasal cavity [2,3,5,8] and orbit [1,6,7].…”